Whether you're a first-time founder, a caregiver going independent, or an existing owner expanding into new markets — we handle every licensing, accreditation, provider enrollment, and launch step so you can open your doors fast and grow with confidence.
Real words from real agency owners we've helped launch and grow.
"I hired the business of senior care to do my home care agency application, it was approved in 4 months (I'm in CA, for reference). I'm very happy with them, they were so helpful and great with emailing DPSS to get updates and make sure I was approved asap. I worked with Joe and Marcus mainly and they were awesome! Thanks guys! I highly recommend them."
"Awesome experience; Lucas and Joe were just phenomenal. We recently worked with The Business of Senior Care to navigate the licensing process for home care agency in Florida, and I can't say enough good things about the experience. From start to finish, their team was knowledgeable, professional, and incredibly responsive. What could have been a complex and time-consuming process was made smooth and efficient thanks to their expert guidance and attention to detail. They truly went above and beyond at every step. Top-notch service and deep industry expertise!"
"Lucas and Kate were phenomenal in helping my husband and I start our franchise location. They held our hand throughout the process with clear goal posts and tracked everything carefully. They helped create all of the documentation that we needed for our initial state inspection. When we were given an inspection appointment with 24 hours notice, they jumped on calls with us and went through our paperwork, and made themselves available to chat and check in throughout the inspection. They cheered with us, they encouraged us, and they prepared us thoroughly. 5 stars all the way!"
"I initially believed I could manage the licensing process on my own. However, I quickly realized how complex and challenging it was. Looking back, I should have brought Lucas on board from the start. Lucas and his team provided invaluable guidance throughout the entire process, making everything run smoothly. Their expertise was especially evident during the site survey review, which was a success thanks to the comprehensive and well-organized Policy and Procedure program they had developed. I wholeheartedly recommend Lucas and his team."
"The proof is in the pudding! We passed our inspection and received our HHA license without any exceptions! Lucas was with me every step of our credentialing process, responding to questions and offering suggestions regularly between our scheduled calls. When the state surveyor arrived for the inspection he was delighted and appreciative of the degree of rigor and thinking that went into our preparation and procedures. Thank you Lucas and the Team!"
"I cannot express my gratitude enough for the outstanding service I received from Lucas Carroll. As someone navigating the complex process of applying for a home health license, their expertise and support were invaluable. He guided me through each step of the application process, ensuring all paperwork was completed accurately and in a timely manner. What truly sets them apart is the personalized approach. If you're in need of assistance with home health certification, I highly recommend this service."
"Lucas and his team were excellent partners as I prepared for the launch of my home care agency. The 12 week growth program was comprehensive, intentionally structured, and adaptable to my evolving needs. I appreciated the large library of templates, but my weekly conversations with Lucas were what I valued most. As an independent operator, I felt this program provided even more support and expertise than franchisors, and was much more cost effective."
"Great team of professionals who support and help in every aspect of the business licensing and much more. Highly recommended!!"
"The Business of Senior Care was worth every penny — and I was skeptical at first. Hiring them and getting to work with Marcus and Elizabeth was one of the best business decisions I've made. Their team was highly organized, very professional and had great communication throughout the entire process. My application was initially declined and that is where they really shined, especially Marcus. He kept calm and confident and handled the entire appeal process. I will definitely be using them in the future and highly recommend them."
"Excellent service! I got my HCO license in 1.5 months, where the average processing time is 3 months or more. The team helped fill out all application forms and even supported to file an amendment later on. Highly recommend their service."
"Lucas and his team were a great help as I navigated the licensing process for a home care agency. I highly recommend their firm as a trusted resource to any aspiring home care agency founders!"
"I've been very impressed with the systems these guys have. Everything is quick, efficient and streamlined. A great business operation!"
"The Business of Senior Care has been an incredible partner in helping us establish our home care agency. Their advisory strategy was tailored specifically to our goals, and their team was always prompt, professional, and knowledgeable. They guided us through every step of the process, from compliance and operations to personalized client care strategies. If you're looking to open a home care business, I can't recommend them enough for their exceptional support and insight!"
"Lucas was invaluable in helping my small business secure a Class A healthcare license. I initially tried to handle the application on my own, but it kept getting rejected over minor, frustrating details. After months of headaches, I decided to hire Lucas, and the process became seamless from that point forward. Save yourself the time and frustration of dealing with the state's often unhelpful bureaucracy and start with Lucas from the beginning!"
"Kate and the entire team at the Biz of Senior Care were AMAZING!! I was able to navigate the process with ease and obtained my license quicker than anyone anticipated! I would highly recommend them to anyone needing Licensing in Home Health Care."
"I hired the business of senior care to do my home care agency application, it was approved in 4 months (I'm in CA, for reference). I'm very happy with them, they were so helpful and great with emailing DPSS to get updates and make sure I was approved asap. I worked with Joe and Marcus mainly and they were awesome! Thanks guys! I highly recommend them."
"Awesome experience; Lucas and Joe were just phenomenal. We recently worked with The Business of Senior Care to navigate the licensing process for home care agency in Florida, and I can't say enough good things about the experience. From start to finish, their team was knowledgeable, professional, and incredibly responsive. What could have been a complex and time-consuming process was made smooth and efficient thanks to their expert guidance and attention to detail. They truly went above and beyond at every step. Top-notch service and deep industry expertise!"
"Lucas and Kate were phenomenal in helping my husband and I start our franchise location. They held our hand throughout the process with clear goal posts and tracked everything carefully. They helped create all of the documentation that we needed for our initial state inspection. When we were given an inspection appointment with 24 hours notice, they jumped on calls with us and went through our paperwork, and made themselves available to chat and check in throughout the inspection. They cheered with us, they encouraged us, and they prepared us thoroughly. 5 stars all the way!"
"I initially believed I could manage the licensing process on my own. However, I quickly realized how complex and challenging it was. Looking back, I should have brought Lucas on board from the start. Lucas and his team provided invaluable guidance throughout the entire process, making everything run smoothly. Their expertise was especially evident during the site survey review, which was a success thanks to the comprehensive and well-organized Policy and Procedure program they had developed. I wholeheartedly recommend Lucas and his team."
"The proof is in the pudding! We passed our inspection and received our HHA license without any exceptions! Lucas was with me every step of our credentialing process, responding to questions and offering suggestions regularly between our scheduled calls. When the state surveyor arrived for the inspection he was delighted and appreciative of the degree of rigor and thinking that went into our preparation and procedures. Thank you Lucas and the Team!"
"I cannot express my gratitude enough for the outstanding service I received from Lucas Carroll. As someone navigating the complex process of applying for a home health license, their expertise and support were invaluable. He guided me through each step of the application process, ensuring all paperwork was completed accurately and in a timely manner. What truly sets them apart is the personalized approach. If you're in need of assistance with home health certification, I highly recommend this service."
"Lucas and his team were excellent partners as I prepared for the launch of my home care agency. The 12 week growth program was comprehensive, intentionally structured, and adaptable to my evolving needs. I appreciated the large library of templates, but my weekly conversations with Lucas were what I valued most. As an independent operator, I felt this program provided even more support and expertise than franchisors, and was much more cost effective."
"Great team of professionals who support and help in every aspect of the business licensing and much more. Highly recommended!!"
"The Business of Senior Care was worth every penny — and I was skeptical at first. Hiring them and getting to work with Marcus and Elizabeth was one of the best business decisions I've made. Their team was highly organized, very professional and had great communication throughout the entire process. My application was initially declined and that is where they really shined, especially Marcus. He kept calm and confident and handled the entire appeal process. I will definitely be using them in the future and highly recommend them."
"Excellent service! I got my HCO license in 1.5 months, where the average processing time is 3 months or more. The team helped fill out all application forms and even supported to file an amendment later on. Highly recommend their service."
"Lucas and his team were a great help as I navigated the licensing process for a home care agency. I highly recommend their firm as a trusted resource to any aspiring home care agency founders!"
"I've been very impressed with the systems these guys have. Everything is quick, efficient and streamlined. A great business operation!"
"The Business of Senior Care has been an incredible partner in helping us establish our home care agency. Their advisory strategy was tailored specifically to our goals, and their team was always prompt, professional, and knowledgeable. They guided us through every step of the process, from compliance and operations to personalized client care strategies. If you're looking to open a home care business, I can't recommend them enough for their exceptional support and insight!"
"Lucas was invaluable in helping my small business secure a Class A healthcare license. I initially tried to handle the application on my own, but it kept getting rejected over minor, frustrating details. After months of headaches, I decided to hire Lucas, and the process became seamless from that point forward. Save yourself the time and frustration of dealing with the state's often unhelpful bureaucracy and start with Lucas from the beginning!"
"Kate and the entire team at the Biz of Senior Care were AMAZING!! I was able to navigate the process with ease and obtained my license quicker than anyone anticipated! I would highly recommend them to anyone needing Licensing in Home Health Care."
Hear directly from our founder about the mission behind everything we do — and what we believe is possible for your agency.
Watch the Founder's Story · 3 min
Whether you're launching home care, home health, or hospice — we have the expertise and track record to get you there.
Companion care, personal care, and non-medical agencies — we get you licensed, operational, and client-ready fast.
Skilled nursing, therapy, and Medicare-certified agencies — we navigate every compliance requirement so you don't have to.
Hospice requires specialized licensing and accreditation knowledge. We've guided hundreds of founders through this demanding and rewarding path.
Proud Member & Accreditation Partners
The demand for home care, home health, and hospice services is at an all-time high. But most people who try to start an agency get stuck in the licensing maze before they ever open their doors.
A clear, proven 5-step process that removes the guesswork and sets you up for long-term growth.
We map your state's exact requirements and fastest path to open — no cost, no obligation. You'll leave with a clear action plan.
We handle your application, policies & procedures, and all compliance documentation — start to finish, guaranteed right the first time.
We manage your VA & Medicaid provider enrollment so you can start billing and getting reimbursed as quickly as possible.
For home health and hospice agencies, we guide you through CHAP or ACHC accreditation and Medicare certification — if applicable.
Referral development, hiring systems, revenue growth, and a proven playbook for expanding confidently into new markets.
Get Started Today →No matter where you're located, we know your state's requirements inside and out — and we've helped founders succeed there.
From single-location startups to multi-state operators — proud to be the partner behind these agencies.
Book a free 30-minute strategy call. No pressure, no obligation — just clarity on your fastest path to licensed, accredited, and open.
No spam. No commitment. Just a real conversation about your agency.
Lucas built The Business of Senior Care after seeing too many passionate founders stopped cold by licensing red tape. With decades of hands-on experience in home care operations, compliance, and policy, he assembled a team with over 100 years of combined expertise — so no agency founder has to figure it out alone.
Marcus is the operational backbone of The Business of Senior Care — ensuring every client gets a seamless, stress-free experience from first call to final license. His hands-on approach and deep knowledge of agency operations keep every project on track and on time.
Plain-language answers to the questions we hear every day — on cost, timelines, licensing, and more.
Startup costs vary widely depending on your state and agency type. Non-medical home care licenses are the most accessible — typically $1,000–$5,000 in state fees with total startup costs in the $25,000–$75,000 range. Medicare-certified home health agencies involve more: accreditation fees, staffing costs, and policy development can bring total investment to $50,000–$150,000. Hospice startup costs are similar to home health. We give every founder a personalized cost breakdown on our free strategy call — no guesswork.
It depends on your state and agency type. Non-medical home care licenses can be approved in 2–6 months depending on the state. Home health licensing typically takes 3–6 months for state approval, plus another 2–4 months for Medicare certification. Hospice timelines are similar. States also vary dramatically in their processing speed and backlog. We know exactly what each state requires and where the common delays happen — so we help you move faster and avoid restarts.
Home care (also called non-medical or personal care) means helping clients with daily living — bathing, dressing, companionship, meals. No clinical tasks. It's typically funded privately or through Medicaid waiver programs, and licensing requirements are simpler. Home health is a skilled medical service: nurses, therapists, and clinicians delivering care under a physician's order. It requires state licensure plus Medicare/Medicaid certification and is reimbursed by Medicare and insurance. The right path for you depends on your goals, capital, and target market.
The path depends on your agency type. Non-medical home care agencies can apply for Medicaid waiver enrollment directly after receiving their state license — no Medicare certification required. Medicare-certified home health agencies follow four steps: (1) Obtain your state license. (2) Achieve ACHC or CHAP accreditation (or complete a CMS initial survey). (3) Submit your CMS 855A enrollment application through the PECOS system. (4) Pass your Medicare initial certification survey — after which Medicaid enrollment follows. Start to finish, plan for 6–12 months for home health. We manage this entire process for our clients — including PECOS enrollment, survey prep, and accreditation coordination.
ACHC (Accreditation Commission for Health Care) and CHAP (Community Health Accreditation Partner) are CMS-approved accreditation bodies for home health and hospice agencies. Earning accreditation grants your agency deemed status — meaning CMS recognizes you as Medicare-compliant without a separate state survey. For Medicare-certified home health and hospice agencies, accreditation is effectively required. Referral sources and hospitals also view it as a quality signal. We work with both bodies and know exactly what surveyors look for.
For non-medical home care, most states require a qualified administrator and trained caregivers (HHAs, CNAs, or companion aides — it varies). Notably, more and more states are now requiring a Registered Nurse on staff or under contract even for non-medical agencies, so it's critical to verify your state's current requirements before you hire. For a Medicare-certified home health agency, you'll need a Director of Nursing (RN), a physician medical director, and licensed therapists on staff or under contract. Hospice agencies additionally require a hospice medical director, social worker, and chaplain as part of the interdisciplinary team. We help you understand your state's exact requirements and build a compliant org structure from day one.
Still have questions? We answer them on a free 30-minute strategy call.
Book a Free Strategy Call